The role of pro-inflammatory cytokines in inflammatory bowel disease growth retardation

被引:71
作者
Wong, S. C.
MacRae, V. E.
McGrogan, P.
Ahmed, S. F. [1 ]
机构
[1] Royal Hosp Sick Children, Bone & Endocrine Res Grp, Glasgow G3 8SJ, Lanark, Scotland
[2] Roslin Inst, Bone Biol Grp, Div Gene Funct & Dev, Edinburgh, Midlothian, Scotland
[3] Royal Hosp Sick Children, Dept Paediat Gastroenterol Hepatol & Nutr, Glasgow G3 8SJ, Lanark, Scotland
关键词
stature; puberty; growth hormone; steroids; management; Crohn disease; ulcerative colits;
D O I
10.1097/01.mpg.0000226374.18494.14
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Childhood inflammatory bowel disease (IBD) especially those with Crohn disease is commonly complicated by faltering growth and pubertal delay. Pro-inflammatory cytokines are often elevated in IBD and may affect linear growth and puberty either systemically or at the level of the growth plate. Further study of the underlying mechanisms of the deleterious effects of cytokines on the growth plate may improve management of faltering growth in childhood IBD. Well-controlled clinical studies of the respective effect of nutritional support, immunomodulatory therapy, biological agents and growth and puberty promoting agents on managing faltering growth also require further attention.
引用
收藏
页码:144 / 155
页数:12
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